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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S IfllllE~i'IL -^- ffi J221#;/l /'v \ -Z) <br />OWIlER'S ADDRESS3,9j/), 9:b: 4J/-f2:. , <br />~(J :i3-7 ' \ ,! ~~) <br />JOB ADDRESS d,7 L/. .~7 // .~ <br /> <br />PHONE /32) - /'0 z; 6 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. , ) ()... -,2 6 - J-/ - 1)3/0- IJ CJ c9 c3 6J - CJ6~ 0 <br /> <br />WORK PROPOSED: New Construction Addition ~eration _Repair Install <br /> <br />_Sign <br /> <br />Move <br /> <br />Demolish <br /> <br />PROPOSED USE: ~ngle Family <br /> <br />_M/F <br /> <br />_' of Units <br /> <br />_M/H <br /> <br />Commercial <br /> <br />Indust. Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: ~x~ Square Feet, Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~ILDING <br />~CTRICAL <br />t-MECHANICAL <br />LPLUMBING <br />TYPE OF CONSTRUCTION: <br /> <br />PERMITS REQUESTED <br /> <br />/ SUO <br />$ - 1_ <br />'/ <br />, / /) AMP Service <br />1 _, <br />, <br /> <br />Valuation of Total Construction <br />~Orida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br />~ame <br /> <br />SPECIALTY <br /> <br />Block <br /> <br />Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration' <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration, <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration' <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br />Signature ~h "- <br /> <br />COMPANY <br />State Cert. or Regist. , <br />~ (,~l /,\"".11. y~ Ci ty License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />